Allergies and Toothache

The arrival of Spring induces allergy symptoms such as itchy/watery eyes, excess nasal irritation and drainage, dry cough, skin rash, etc. However, there is a unique symptom which occurs sometime in conjunction with excess drainage in the sinus:  Toothache on the upper molars or bicuspids. The upper bicuspid and molar roots are embedded in the sinus cavity. When the sinus cavity is filled with excess drainage from allergies, pressure from the sinus on the roots can cause a discomfort which mimics a toothache.  An improper diagnosis may result in unnecessary root canal treatments to alleviate the associated pain.  Careful examination and tests should be done to rule out toothache associated with sinus drainage or infection.

In this case, a regiment of antibiotics and antihistamines may very well alleviate the toothache-like problem.  Yes, sometimes you can blame pollen for your toothache !

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Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.

What is a Sinus Lift for Dental Implant?

Sometimes there is not enough bone in the areas of the upper molars and bicuspids because the sinus floor has a tendency to expand into the space after the teeth have been lost.  In order to properly anchor the right implant length for strength, we need to recreate adequate bone height. With today's innovation in instrumentation and technique, we can predictably condense bone grafting material and lift the floor of the sinus to create room for the implant.  After the healing period, the bone solidifies around the implant and the result is much more predictable than to use a short or mini implant.

Images of actual patients of Alex Nguyen, DDS are Copyrighted and Digitally Embedded to track Unauthorized Use.

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Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.

CT Scan and Dental Implant : High Standard of Care or Basic Requirement?

In my practice, this "High Standard of Care" is a "Basic Requirement". Dental Implants have become the preferred standard of care when it comes to replacing missing teeth in the mouth.  The advancement of technology has enabled dentists to accurately analyze the structure of the jaw and pre-plan for the implant work.

By using specialized software with images from a CT Scan of your dentition, I can analyze some important requirements which cannot be determined accurately with simple xrays alone:

1.  Bone density

2.  Bone thickness

3.  Bone height

4.  Proximity to nerve canals and the Sinus

5.  Proximity to/ angulation of adjacent tooth root

With the above analysis, I can choose the right implant size before going into the surgery.  The advanced treatment planning and analysis help prevent unexpected complications such as damage to vital nerves or impingement on the Sinus.

Here are some images of an analysis of a CT Scan for Dental Implants treatment:

One should never compromise a life-long restoration by choosing an implant treatment that has not been carefully planned out.  This is particularly crucial in the esthetic zone such as your front teeth where lack of planning can produce an unfavorable esthetic result.

Thank you for viewing my post, and please let me know if you have any question.

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Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.